This document summarizes the results of a child nutrition pilot project in Puerto Nuevo, Peru. Anthropometric evaluations found that 42% of preschoolers were at risk of short stature or malnutrition, while 25% of school-aged children were overweight. Biochemical tests found anemia in 10.7% of children. The project provided nutritional counseling and treatment to families. Follow-up evaluations found that most families consumed meals 3 times per day but lacked access to school feeding programs. Educational classes were provided to mothers on hygiene, nutrition, and food preparation to improve children's health.

1. CHILD NUTRITION PILOT PROJECT IEI N° 118 MI MUNDO FELIZ AAHH PUERTO NUEVO CALLAO

2. Puerto Nuevo Human Settlement

3. First stage ANTHROPOMETRIC EVALUATION Evaluate the nutritional status of preschool children by anthropometry, anemia dismiss, parasite infection and tuberculosis dismiss.

4. ANTHROPOMETRIC RESULTS Risk of: short stature, overweight and malnutrition PRE SCHOOL (2-5 years) SCHOOL (>5 years) Adequate 39% Adequate 50% Adequate risk* 42% Overweight 25% Overweight 5% Obese 8% Obese 7% Thinness risk 8% Malnutrition (short stature) 2% Thinness 8%

5. Adequate distribution of weight for height (W/H)we have a greater concentration of appropriate children (88.64%, between +-2 PZ) and it is showed a greater tendency to overweight/obesity (11,37%, >+2PZ ) than tomalnutrition (0%, <-2PZ) compared WHO standards. PRE SCHOOL

6. Distribution of height for age is clear that this child population has a tendency to low normal size (65.81%, median and -1PZ) and short stature risk (25%, -1 and -2PZ), coexisting chronic malnutricion in 9% (>-2PZ).

7. SCHOOL Height for age distribution Clear trend towards low normal height, including one case of severe short height.

8. Height for age by sex Boys have low normal height (-1DS), compared to girls who have far better growth of +1DS.

9. RESULTS BY BIOCHEMICAL TESTS Anemia  10,7% (n=6) Anemia risk  21,4% (n=12) PPD + (contact of TBC)  5,3% (n=3) Parasite infection  16% (n=9)

10. The parents received results of their children together with nutritional counseling and the medical prescriptions for the pharmacological treatment.

11. BASAL LINE DEFINITION SECOND STAGE Evaluate food quality for children in order to improve their eating habits and determine the behavior of the population in four aspects: food, health, nutrition and food consumption rate.

12. PRINCIPALS RESULTS 56 families belong to the Project 48 families have been interviewed

13. HOUSEHOLD BASIC CHARACTERISTICS AND SERVICES Brick / cement block Most common outside wall material Housing

14. Floor material Drinking water supply Wooden tiles, polished wood Floor tile/ outdoor tile/ wood/ wooden boards cement/false floor

15. HOME MEMBERS Children under 5 years old 60.4% homes with 1 child/stepchild 39.6% homes with 2 or more children Family Head Gender 91.7% male 79% high school education level 15% technical education 92% works and, 4% works and studies

16. Spouses 76% high school education level 15% technical education 69% are housewives 27% works

17. HEALTH AND NUTRITION Early Stimulation 70.8% (n=34) received early stimulation 29.2% (n=14) has not received any Growth & Development Control: CRED 77.1% attend to CRED 23% do not attend

18. PRINCIPAL ILLNESSES

19. Social Security 58.3% have access to SIS/AUS 16.7% have access to ESSALUD 25% None

20. FOOD CONSUMPTION RATE Frequency 47.9%: 3 times day + 2 snacks 27.1%: 3 times per day + 1 snack 10.4%: 3 times per day + 3 snacks 14.6%: 3 times per day

21. PARTICIPATION IN FOOD ASSISTANT PROGRAMS 69.2% do not have access to the Glass of Milk Program while 30.8% do have access 98.7% do not have access to School Breakfast Program while 1.3% do have access

22. FOOD FREQUENCY Spleen/lung Red meat The principal source of protein is meat of chicken, egg, milk and fish. Viscera have less frequency consumption.

23. Andean cereal Liver

24. Milk/Yogurt 7 days Beans or alike

25. Fruit They most frequently eat are banana, tangerine, orange and apple . Vegetables They most frequently eat are pumpkins, carrots, and green leaved vegetables.

26. THIRD STAGE EDUCATIONAL CLASSES

27. FIRST CLASS “ I AM CLEAN AND KNOW HOW TO TAKE GOOD CARE OF MYSELF” 32 mothers that attend

28. RESULTS

29. SECOND CLASS “ I EAT WELL, DO YOU? 20 mothers that attended

30. RESULTS

31. THIRD SESSION COMBINE AND MIX, WHAT AM I MISSING? 21 mothers that attended

32. RESULTS

33. Conclusion: pre test correct answers 80.75% while post test correct answers 85.96%. We must continue training the parents to improve the results. It will be significant if the correct results are above 90%.

34. DEMOSTRATIONS CLASS N°1 Goals intended: Make mothers and fathers able to prepare meals to prevent chronic malnutrition and anemia in children, expectant mothers and nursing mothers. 19 mothers that attended